Organization Active NPI

His Strength Christian Counseling LLC

  • Professional Counselor
  • Urbana, OH
National Provider Identifier
1104503135
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HIS STRENGTH CHRISTIAN COUNSELING LLC
Practice address
4194 W US Highway 36
Urbana, OH 43078-9663
Phone
(937) 875-6795
NPI assigned
Jun 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kathleen Elizabeth Ervin, MED, LSW, LPCC-SNPI 1427012442
Title
Clinical Counselor
Phone
(937) 750-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4194 W US Highway 36
Urbana, OH 43078-9663

Mailing address

PO Box 85
Westville, OH 43083-0085
Phone (937) 875-6795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240119003729 OH Part B Supplier - Clinic/Group Practice 1557713047 Receives reassigned benefits from 1 practitioner
Practice locations: Urbana, OH

National Provider Directory

National Provider Directory

Locations

4194 W US Highway 36
Urbana, OH 43078
Phone (937) 875-6795

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1104503135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "WESTVILLE",
            "state": "OH",
            "postal_code": "430830085",
            "telephone_number": "937-875-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4194 W US HIGHWAY 36",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789663",
            "telephone_number": "937-875-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS STRENGTH CHRISTIAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "937-750-5700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED, LSW, LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.